MEDICAL PRACTICE NY PC NPI 1023251261

NPI Information

  • NPI: 1023251261
  • Provider Name: MEDICAL PRACTICE NY PC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 5 W 86TH ST APT 1C
    NEW YORK, NY
    ZIP 10024
  • Phone: (212) 874-0143

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NPI Details

MEDICAL PRACTICE NY PC is an adult mental health clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MEDICAL PRACTICE NY PC NPI is 1023251261. The provider is registered as an organization entity type.

The provider's business location address is:

5 W 86TH ST APT 1C
NEW YORK, NY
ZIP 10024-663
Phone: (212) 874-0143

The provider's authorized official is Yelena Mamedova-braz .
The authorized official title is Owner and has the following contact phone number (212) 874-0143.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 11/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health185185NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G400001972MEDICARE OSCAR/CERTIFICATIONNEW YORK
2E94731MEDICARE UPINNEW YORK
3A400034574MEDICARE PINNEW YORK
4A100034891MEDICARE PINNEW YORK
501274024MEDICAIDNEW YORK
6G100000264MEDICARE OSCAR/CERTIFICATIONNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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